Individual
JOSEPH MCRAITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2024 S 6TH ST, BRAINERD, MN 56401-4529
(218) 828-2880
(605) 755-4012
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
77961
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2021
Last updated
08/22/2024
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